SpecialtyDentist
LocationFort Eisenhower, GA
NPI1477031888
License numberDEN.00203688
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 05/06/2024). If this looks outdated, use "Report an issue" on this profile to suggest a correction.